NPIMap

Organization Active NPI

Integrative Physical Therapy, PLLC

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1114017464
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01-4487-1 Issued in NY
Legal business name
INTEGRATIVE PHYSICAL THERAPY, PLLC
Practice address
1 Barney Rd
Suite 120
Clifton Park, NY 12065-5843
Phone
(518) 373-0735
NPI assigned
Oct 14, 2006
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly A. Delvecchio, P.T.NPI 1588757744
Title
P.T. , Qwner
Phone
(518) 281-3534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 01-4487-1 NY Primary

Addresses

Primary practice location

1 Barney Rd
Suite 120
Clifton Park, NY 12065-5843

Mailing address

1 Barney Road
Suite 120
Clifton Park, NY 12065-0471
Phone (518) 373-0735

Other names 1

  • Integrative Physical Therapy, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1 Barney Rd
Ste 230
Clifton Park, NY 12065
Phone (518) 817-3845

1471 Route 9
Ste 4
Halfmoon, NY 12065
Phone (518) 373-0735

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1114017464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNEY ROAD",
            "address_2": "SUITE 120",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120650471",
            "telephone_number": "518-373-0735",
            "fax_number": "518-373-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNEY RD",
            "address_2": "SUITE 120",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655843",
            "telephone_number": "518-373-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "DELVECCHIO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "P.T. , QWNER",
        "authorized_official_telephone_number": "518-281-3534",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "01-4487-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.